A clinical case of acute coronary syndrome in patients with type 2 diabetes

Abstract

The article reviews a clinical cases of acute coronary syndrome in a patient with type 2 diabetes (T2D). The causes of progression of atherosclerosis in patients with T2D are considered which leads to myocardial ischemia against a background of multivessel coronary artery disease and is responsible for the high rate of restenosis after coronary interventions. Comorbidity of somatic diseases in cardiology practice is one of the key prognostic factors which determine the outcome of the underlying disease. The choice of hypoglycemic therapy and additive effects of drugs are discussed based on the results of randomized clinical trials.

Keywords

• острый инфаркт миокарда
• сахарный диабет 2-го типа
• хроническая сердечная недостаточность
• рестеноз
• инсулинорезистентность
• гипергликемическая память
• клопидогрел
• бета-адреноблокаторы
• метформин
• глимепирид
• acute myocardial infarction
• type 2 diabetes